| NPI | 1003623356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04362) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2336344) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-17 |