NPI | 1407906704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN214795) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 214795) |
363L00000X Nurse Practitioner (Licence: NH 069512-23) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-10-31 |