| NPI | 1154540243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01824) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 335104) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-09-06 |