| NPI | 1669158085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 116539) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12119) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-10-06 |