| NPI | 1013519693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2261460) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2261460) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-05-25 |