| NPI | 1265956445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN03266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2290294) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 8023) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2023-07-13 |