| NPI | 1275901514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9406374) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2017-03-01 |