| NPI | 1881828929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01258) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI NPP37472) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2023-09-29 |