NPI | 1477106086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2292372) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2292372) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2024-04-16 |