NPI | 1730408220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00903) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: RI RN26299) |
Enumeration Date | 2010-05-23 |
Last Update Date | 2024-07-19 |