| NPI | 1538567276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2284817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284817) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2284817) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2284817) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-05-09 |