| NPI | 1679138481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN265980) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-08-29 |