NPI | 1063642262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01696) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN 27234) |
Enumeration Date | 2009-07-22 |
Last Update Date | 2017-10-22 |