| NPI | 1356062004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI RN56317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2356357) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-01-10 |