| NPI | 1831491802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01175) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI rn36424) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2023-06-28 |