| NPI | 1679560718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 152166) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI RN25654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN00817) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-10-19 |