NPI | 1922383967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 37622) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2015-02-27 |