| NPI | 1417623083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN278256) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MA RN278256) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN278256) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-05-26 |