| NPI | 1265170492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 2329839) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-07-10 |