| NPI | 1285297689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN50997) |
| 163WH0200X Registered Nurse, Home Health (Licence: MA RN2300385) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2021-12-31 |