| NPI | 1386925931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2297416) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305861-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340826-1) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2015-06-30 |