| NPI | 1760937650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01392) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN01392) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01392) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01392) | |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2026-08-10 |