NPI | 1467532168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01267) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP32286) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2016-09-15 |