| NPI | 1114673092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2326883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2326883) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-01-19 |