NPI | 1326542424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01785) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020692) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2024-05-08 |