| NPI | 1992215883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN276131) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-07-07 |