| NPI | 1093512006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04543) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: RI RN38862) |
| 363L00000X Nurse Practitioner (Licence: RI APRN04543) | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-04-30 |