| NPI | 1063165785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN03005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2333786) |
| 363L00000X Nurse Practitioner (Licence: RI APRN03005) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-09-27 |