| NPI | 1093818668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN213359) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00308) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00308) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37611) | |
| 163WG0000X Registered Nurse, General Practice (Licence: RI RN49515) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-02-17 |