| NPI | 1043736663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN01647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2314736) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-12-01 |