NPI | 1295096337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA rn2270046) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA rn2270046) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2014-02-20 |