NPI | 1881045789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01413) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RN55170) |
Enumeration Date | 2016-06-22 |
Last Update Date | 2021-04-16 |