| NPI | 1801976352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 156396) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 156396) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 156396) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-08-01 |