| NPI | 1386296663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2306212) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MA AG07190141) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-12-04 |