| NPI | 1386398535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN63513) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2024-06-28 |