NPI | 1730314287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02949) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN224876) |
363LF0000X Nurse Practitioner, Family (Licence: RI RN34692) | |
Enumeration Date | 2009-05-27 |
Last Update Date | 2022-03-18 |