| NPI | 1669888046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01823) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2260955) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2260955) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2022-07-13 |