| NPI | 1841269529 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01327) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37094) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37094) | |
| Enumeration Date | 2006-03-16 | 
| Last Update Date | 2017-02-09 |