| NPI | 1508642620 |
|---|---|
| Former Name | DEENA NARDOLILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 32629) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-10-05 |