| NPI | 1356027197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2364746) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2025-04-25 |