| NPI | 1699311753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI 02226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 58023) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2319289) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-09-30 |