NPI | 1740865393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02655) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI F02210427) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2024-01-03 |