| NPI | 1134500150 |
|---|---|
| Former Name | ELENA GUSEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00638) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00638) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |