NPI | 1225488521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03563) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2299216) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2024-08-22 |