NPI | 1013139955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 272452) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340239) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |