| NPI | 1497138739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 060199-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2276640) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2020-10-08 |