NPI | 1770685802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP32093) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP32093) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2012-11-06 |