NPI | 1386246718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2329798) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02414) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2024-09-08 |