| NPI | 1295199305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN261455) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN261455) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MA RN261455) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-05-21 |