NPI | 1124212055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00382) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37422) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2022-02-02 |