| NPI | 1467754333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02549) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 256291) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN256291) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2021-04-27 |