| 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 | 2021-12-28 |