| NPI | 1265026272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 45111) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2022-10-03 |