NPI | 1184776080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00306) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37247) |
363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00306) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-10-28 |