NPI | 1235597139 |
---|---|
Former Name | NICOLE D FEMINO/DAHLQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01022) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2339253) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2339253) | |
Enumeration Date | 2016-02-05 |
Last Update Date | 2023-12-13 |