NPI | 1346691631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01402) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01402) |
363L00000X Nurse Practitioner (Licence: RI APRN01402) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-03-08 |