| NPI | 1184054785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN04669) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN276515) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 276515) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2025-08-27 |