| NPI | 1386352359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2267754) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-08-15 |