| NPI | 1811251713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7460) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37710) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37710) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-04-25 |