| NPI | 1770884462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02052) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN265721) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2019-05-02 |