| NPI | 1184216137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2286835) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2024-09-08 |