| NPI | 1225606247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02630) |
| Additional Taxonomies | 208800000X Urology (Licence: RI APRN02630) |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN02630) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-07-01 |