| NPI | 1942542469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN00266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37756) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-02-17 |