| NPI | 1699114090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2259422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2259422) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2259422) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2259422) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-07-31 |