NPI | 1124610290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03059) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI CAPRN03059) |
363LF0000X Nurse Practitioner, Family (Licence: RI MM7170513) | |
Enumeration Date | 2021-02-09 |
Last Update Date | 2024-05-08 |