| NPI | 1205225273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2275339) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2021-11-02 |