NPI | 1043544885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00229) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 194176) |
363LF0000X Nurse Practitioner, Family (Licence: RI NPP37533) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00229) | |
Enumeration Date | 2009-09-27 |
Last Update Date | 2022-02-17 |