| NPI | 1881902096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI NPP37575) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI CAPRN01044) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2023-06-15 |