| NPI | 1790528172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN04133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI PENDING) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-06-24 |