| NPI | 1457921900 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03469)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03469)  | 
| 163W00000X Registered Nurse (Licence: RI RN57401)  | |
| Enumeration Date | 2021-06-28 | 
| Last Update Date | 2025-03-19 |