NPI | 1588661722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00518) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP28847) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2019-11-23 |