| NPI | 1861056608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN02119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1828) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: RI APRN02119) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02119) | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-08-01 |