| NPI | 1679014104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 48253) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01657) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2024-01-24 |