| NPI | 1710264015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00686) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37638) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2021-11-17 |