| NPI | 1538718390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02709) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2332511) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2025-02-12 |