| NPI | 1912714346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2340651) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-03-17 |