| NPI | 1790782571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: RI npp14774) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP14774) |
| 363L00000X Nurse Practitioner (Licence: RI npp14774) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-06-10 |