| NPI | 1669787073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00642) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00642) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2020-05-18 |