NPI | 1942893789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03075) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2371791) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2024-08-07 |