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 |