NPI | 1801084751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2274406) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI Rn36765) |
363LA2100X Nurse Practitioner, Acute Care (Licence: RI NPP37867) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN01777) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2023-01-24 |