| NPI | 1053178707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03819) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN60810) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |