| NPI | 1255901310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03372) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2302114) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-10-09 |