| NPI | 1538760186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2287624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2287624) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2287624) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2021-06-15 |