| NPI | 1598072621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN176327) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2023-05-04 |