| NPI | 1376133843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN46584) |
| 363L00000X Nurse Practitioner (Licence: RI APRN02511) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02511) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-03-25 |