| NPI | 1194535369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R225592) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-04-30 |