| NPI | 1639851785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2355216) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-03-13 |