| NPI | 1871899773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN48339) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: RI APRN01621) | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2021-12-13 |