| NPI | 1194191593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2291767) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2291767) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2291767) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-10-09 |