| NPI | 1023488145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI APRN00753) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2025-03-19 |