| NPI | 1467121301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN255678) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN255678) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11017350) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-10-26 |