| NPI | 1881235174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02759) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN290002) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-10-04 |