| NPI | 1699273540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2306576) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310768) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2306576) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2023-12-06 |