| NPI | 1770337032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 15454) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN03769) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03769) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2026-05-07 |