NPI | 1487893939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00975) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37369) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2024-07-10 |