| NPI | 1770007197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN252429) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-03-17 |