| NPI | 1457069254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN65173) |
| 363L00000X Nurse Practitioner (Licence: RI pending) | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-01-06 |