| NPI | 1982226536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345638-01) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2023-12-20 |