| NPI | 1578520631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN131697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 131697) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN131697) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-07-10 |