NPI | 1932505252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI CNPP37910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00842) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2017-05-18 |