| NPI | 1518242460 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00181)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2328439)  | 
| Enumeration Date | 2011-10-11 | 
| Last Update Date | 2025-06-18 |