NPI | 1841226875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00412) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA CNP164706) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2023-04-30 |