| NPI | 1689699175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01034) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI CAPRN01034) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI RN25772) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI MM0924868) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-05-08 |