NPI | 1457781619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01037) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN209696) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2018-11-16 |