NPI | 1356030860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03660) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN58705) |
Enumeration Date | 2023-05-02 |
Last Update Date | 2025-05-08 |