| NPI | 1184303695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MA RN258707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 258707) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-06-20 |