NPI | 1295013050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 215508) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 215508) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2020-07-09 |