| NPI | 1447503750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2294793) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-02-22 |