NPI | 1346869583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02654) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153756) |
363LG0600X Nurse Practitioner, Gerontology (Licence: CT AG06200113) | |
Enumeration Date | 2020-04-08 |
Last Update Date | 2021-12-17 |