| NPI | 1164291092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 12896)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN03851)  | 
| Enumeration Date | 2023-12-20 | 
| Last Update Date | 2024-03-19 |