NPI | 1285150292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10136) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01602) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2021-10-27 |