| NPI | 1376227009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04635) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2260292) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2025-07-11 |