| NPI | 1740929207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN51478) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-01-17 |