| NPI | 1124457775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN03749) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306514) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 306514) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-10-23 |