| NPI | 1659388544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN34244) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2015-11-13 |