NPI | 1528393345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00214) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 278931) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2023-12-14 |