| NPI | 1598403073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2323145) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2323145) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-01-22 |