| NPI | 1912335662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP37740) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN01009) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-04-06 |