NPI | 1023509973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2302569) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA AG06190175) |
Enumeration Date | 2018-05-27 |
Last Update Date | 2022-02-10 |