NPI | 1316466527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 093290-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02202) |
Enumeration Date | 2017-09-19 |
Last Update Date | 2024-06-14 |