| NPI | 1346686102 |
|---|---|
| Former Name | AUDREY MARIA RUSKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00516) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2019-11-23 |