| NPI | 1699643726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN04590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI APRN04590) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: RI APRN04590) | |
| 363L00000X Nurse Practitioner (Licence: RI APRN04590) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN04590) | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |