| NPI | 1598429870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03365) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 011717) |
| 163W00000X Registered Nurse (Licence: RI RN63510) | |
| Enumeration Date | 2021-10-24 |
| Last Update Date | 2024-06-27 |