| NPI | 1053539031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 65582) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-07-29 |