NPI | 1629476072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2284709) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2284709) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2024-07-11 |