| NPI | 1346304060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN10003198) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MD R150259) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2024-06-25 |