| NPI | 1972952083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN01373) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: RI APRN01373) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-08-05 |