| NPI | 1821341264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2270207) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MA 2270207) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2270207) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-04-03 |