NPI | 1184144073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03573) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2299344) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2299344) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2023-12-14 |