| NPI | 1124557756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8842) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-06-26 |