NPI | 1770167421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN02695) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02695) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-06-22 |