| NPI | 1699339721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: RI APRN02040) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: RI 02040) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-06-05 |