| NPI | 1285147488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01584) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2265589) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2021-07-08 |