| NPI | 1811512072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013786) |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2021-08-18 |