| NPI | 1356108211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN04612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP029393) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2025-09-02 |