NPI | 1417208802 |
---|---|
Former Name | ERIN SHALLCROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01187) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI CNPP37713) |
363LF0000X Nurse Practitioner, Family (Licence: RI NPP37713) | |
Enumeration Date | 2012-09-25 |
Last Update Date | 2023-12-14 |