| NPI | 1700015104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NP35085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37096) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |