| NPI | 1316085806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 173339) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP211159) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-11-17 |