| NPI | 1912568015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03487) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2305554) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-01-03 |