| NPI | 1831137561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN40141) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-07-13 |