| NPI | 1225488521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN03563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 2299216) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-08-22 |