NPI | 1366118341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9895) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN04324) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2025-02-12 |