| NPI | 1992788830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37219) |
| 363L00000X Nurse Practitioner (Licence: MA 245727) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2018-02-16 |