| NPI | 1831744713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2280395) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2280395) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2023-11-14 |