| NPI | 1750106381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN63589) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-09-02 |