| NPI | 1285261339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02331) | 
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: RI APRN02331) | 
| 363L00000X Nurse Practitioner (Licence: RI APRN02331) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN02331) | |
| Enumeration Date | 2020-03-26 | 
| Last Update Date | 2023-06-21 |