| NPI | 1427239912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2007005182-21) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 255984RN) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA 2007006045-23) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2020-04-15 |