| NPI | 1255030532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2361401) |
| 163W00000X Registered Nurse (Licence: RI RN60216) | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-10-22 |