| NPI | 1235801549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN03231) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 10081) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03231) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CT 10081) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-09-21 |