NPI | 1992788830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00314) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37219) |
363L00000X Nurse Practitioner (Licence: MA 245727) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2018-02-16 |