| NPI | 1154678233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02460) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2270618) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2026-08-25 |