| NPI | 1164037636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02442) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: RI RN54566) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-12-04 |