| NPI | 1275902736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02963) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201506667NP-PP) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2023-01-10 |