| NPI | 1508827734 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 153484)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 153484)  | 
| Enumeration Date | 2006-03-29 | 
| Last Update Date | 2025-09-11 |