| NPI | 1235470394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN51721) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2023-11-16 |