| NPI | 1619291176 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01356)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2347826)  | 
| Enumeration Date | 2010-03-26 | 
| Last Update Date | 2025-03-18 |