NPI | 1538712997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03540) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2320463) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 201913783) | |
Enumeration Date | 2019-07-24 |
Last Update Date | 2023-04-27 |