| NPI | 1578840526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 215307) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 215307) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 215307) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MA 215307) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2023-04-07 |