| NPI | 1518956010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MA NP144577) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA NP144577) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA NP144577) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2018-09-27 |