| NPI | 1679821862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37705) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2020-01-31 |