| NPI | 1891678702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04646) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: RI APRN04646) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-09-15 |