| NPI | 1326513987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2301002) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-08-24 |