| NPI | 1366994956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6991) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01475) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01475) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN01475) | |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2018-03-17 |