NPI | 1982331880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2385142) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN52172) |
363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03467) | |
Enumeration Date | 2022-08-02 |
Last Update Date | 2024-11-07 |