| NPI | 1386202687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 084961-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2318322) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2318322) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2022-12-30 |