NPI | 1235100280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00248) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP 19663) |
Enumeration Date | 2006-01-29 |
Last Update Date | 2019-10-24 |