NPI | 1417331521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00746) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014042986) |
363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00746) | |
Enumeration Date | 2015-07-17 |
Last Update Date | 2024-08-01 |