| NPI | 1598137663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 282576) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |