| NPI | 1174950331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2283750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2283750) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2021-09-20 |