| NPI | 1629370309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN01381) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01381) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01381) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2019-06-07 |