| NPI | 1922383967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00312)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 37622)  | 
| Enumeration Date | 2011-10-20 | 
| Last Update Date | 2015-02-27 |