| NPI | 1821268590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN252677) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 252677) |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2015-11-23 |