| NPI | 1619494945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01568) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: RI 48552) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 7313) | |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-08-31 |