| NPI | 1386122315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2309338) |
| 363L00000X Nurse Practitioner (Licence: RI APRN03035) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-02-17 |