| NPI | 1811713175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2372388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2372388) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-02-16 |