| NPI | 1588211403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2308457) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2308457) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2308457) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-11-22 |