| NPI | 1700169711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264330) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2014-07-07 |