| NPI | 1720296916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN00318) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN18416) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2025-07-10 |