| NPI | 1033004189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F05250649) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-09-03 |