NPI | 1073539813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01191) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI CNPP37182) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2025-02-19 |