| NPI | 1346856382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02653) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI AG03210008) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-01-20 |