NPI | 1396403762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264175) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02942) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2022-08-31 |