| NPI | 1982331880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN52172) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-01-31 |