| NPI | 1932225794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00581) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 259166) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-12-04 |