| NPI | 1659053577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03775) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: RI RN55340) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-09-18 |