| NPI | 1760116859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN62565) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10809) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-11-01 |