NPI | 1437573482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03389) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000018204) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2024-11-12 |