NPI | 1023535010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02063) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006574) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2022-07-21 |