| NPI | 1770689515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP25216) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-05-02 |