| NPI | 1366140410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03798) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: RI RN50929) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2289655) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-12-18 |