| NPI | 1629774906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04264) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI 390200000X) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2024-10-23 |