| NPI | 1598953010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00039) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN00039) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI 254037) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00039) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2019-09-16 |