| NPI | 1306457759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2278584) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2278584) |
| 363L00000X Nurse Practitioner (Licence: MA RN2278584) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-03-01 |