NPI | 1265689855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01292) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 003863) |
363LF0000X Nurse Practitioner, Family (Licence: CT 003863) | |
Enumeration Date | 2008-08-26 |
Last Update Date | 2021-12-21 |