| NPI | 1437888799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 2267314) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MA 2267314) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-10-10 |