| NPI | 1801663133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI APRN03913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN59052) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-01-17 |