| NPI | 1376218412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2337543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337543) |
| 363L00000X Nurse Practitioner (Licence: MA RN2337543) | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-06-20 |