| NPI | 1174036735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2305862) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-07-11 |