| NPI | 1295207033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1000188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01976) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01976) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-02-13 |