NPI | 1538676184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00999) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI F08170598) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2019-04-25 |