| NPI | 1033493945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN271842) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-02-26 |