| NPI | 1699825141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 255063) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |