| NPI | 1417784760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2260805) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2024057466) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-05-28 |