| NPI | 1407474042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2290408) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN02347) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: RI RN2290408) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-03-30 |