| NPI | 1588399943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03205) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI Rn49477) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-08-24 |