NPI | 1295282481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN263919) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN263919) |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |