NPI | 1851623557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00271) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37541) |
363LF0000X Nurse Practitioner, Family (Licence: RI APRN00271) | |
Enumeration Date | 2010-02-04 |
Last Update Date | 2020-10-21 |