| NPI | 1558861963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2314796) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 2314796) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-04-10 |