| NPI | 1891274627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN05342) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01237800) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2026-08-18 |