NPI | 1184949612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN280870) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN280870) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 280870) | |
Enumeration Date | 2010-03-27 |
Last Update Date | 2020-01-07 |