| NPI | 1417378811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00344) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN256459) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2024-09-06 |