| 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 |