| NPI | 1336509413 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02298) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02298) | 
| Enumeration Date | 2016-03-02 | 
| Last Update Date | 2022-01-27 |