| NPI | 1114329562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2276800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA rn2276800) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 6127) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2022-03-21 |