NPI | 1750498838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01189) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI CNPP37279) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-09-18 |