| NPI | 1073555645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00416) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: RI 00416) |
| 363L00000X Nurse Practitioner (Licence: RI 00416) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI 00416) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-06-21 |