| NPI | 1245891662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN10013307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 821448) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-06-18 |