| NPI | 1407718398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA AG11250041) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA AG11250041) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA AG11250041) | |
| Enumeration Date | 2025-11-29 |
| Last Update Date | 2025-11-29 |