| NPI | 1134895998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2324755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA AG07210158) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-06-02 |