| NPI | 1932148814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI 000850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 208868) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37283) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-12-28 |