| NPI | 1356454250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00040) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP20893) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-01-29 |