| NPI | 1497127906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN199815) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MA 199815) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-01-11 |