| NPI | 1366081317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2260090) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2260090) | |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2023-05-22 |