| 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 |