| NPI | 1619425055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2283429) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2283429) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-10-26 |