| NPI | 1831957448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI rn45400) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-07-10 |