| NPI | 1780199703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN1727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2282567) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-10-22 |