| NPI | 1942893789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2371791) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2024-08-07 |