NPI | 1598101925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2324041) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37754) |
363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN00058) | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2021-12-30 |