| NPI | 1245838390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2292935) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: MA 2292935) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 2292935) | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-04-05 |