| NPI | 1053366450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA 239178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 239178) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MA 239178) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-11-11 |