| NPI | 1376038257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285118) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA RN2285118) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-05-01 |