| NPI | 1437573482 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03389)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000018204)  | 
| Enumeration Date | 2014-02-11 | 
| Last Update Date | 2024-11-12 |