NPI | 1104082296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37435) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI NPP37435) |
Enumeration Date | 2008-07-29 |
Last Update Date | 2014-05-27 |