| NPI | 1568089860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03494) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2320883) |
| 207Q00000X Family Medicine (Licence: MA RN2320883) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2024-11-12 |