| NPI | 1679957401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN01662) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2299928) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2025-08-25 |