| NPI | 1811646177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN72104) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-31 |