| NPI | 1194178699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN10024660) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2026-01-27 |