| NPI | 1740865393 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02655) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI F02210427) | 
| Enumeration Date | 2021-03-16 | 
| Last Update Date | 2024-01-03 |