NPI | 1831840305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02960) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: RI APRN02960) |
Enumeration Date | 2022-01-15 |
Last Update Date | 2025-06-03 |