| NPI | 1922439223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03236) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 086153-23) |
| 363L00000X Nurse Practitioner (Licence: NC 5012167) | |
| 363L00000X Nurse Practitioner (Licence: MA RN2356896) | |
| 363L00000X Nurse Practitioner (Licence: RI APRN03236) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012167) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2022-10-25 |