| NPI | 1013975424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN234490) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN234490) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN234490) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-07-10 |