| NPI | 1205502838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI CAPRN02856) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2355092) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-09-08 |