| NPI | 1821985458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN04688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 205875) |
| 163W00000X Registered Nurse (Licence: RI RN64167) | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-15 |