| NPI | 1629278379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN42313) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-11-01 |