| NPI | 1508827734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 153484) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 153484) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |