| NPI | 1922301159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 727575) |
| 163W00000X Registered Nurse (Licence: RI RN52834) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 19829) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI NPP37853) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2021-12-27 |