| NPI | 1962938720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN47527) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-05-31 |