| NPI | 1497369060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN02450) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: RI RN43495) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2021-04-28 |