| NPI | 1336535624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: RI APRN00086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2269378) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: RI APRN00086) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2269378) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-12-21 |