NPI | 1669537510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI 30911) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI 30911) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2012-03-08 |