| 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 |