| NPI | 1508490350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN02256) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI APRN02256) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2023-04-10 |