| NPI | 1215563531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2306832) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2306832) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2306832) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2022-12-05 |