| NPI | 1073966073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA Rn2272870) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02614) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-09-06 |