| NPI | 1992351811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2297950) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-02-18 |