| NPI | 1235919408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2334702) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-09-06 |