| NPI | 1609593433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN04062) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: RI RN59017) |
| 163WE0003X Registered Nurse Emergency (Licence: MA RN2322910) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-07-09 |