| NPI | 1598327603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN51219) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-08-22 |