| NPI | 1669948659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2318576) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-11-27 |