| NPI | 1346840386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: RI APRN02962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN57415) |
| 163W00000X Registered Nurse (Licence: MA RN2313899) | |
| 163W00000X Registered Nurse (Licence: RI APRN02962) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2022-03-21 |