| NPI | 1871036756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2274366) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI RN48356) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2020-04-23 |