| NPI | 1467836254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN216727) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-08-20 |