NPI | 1225794548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03510) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: RI APRN03510) |
363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN02855) | |
Enumeration Date | 2021-11-10 |
Last Update Date | 2025-08-29 |