NPI | 1043737711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2312306) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2312306) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2023-03-06 |