| NPI | 1508268210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02988) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN256831) |
| 363L00000X Nurse Practitioner (Licence: RI APRN02988) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN256831) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-03-04 |