| NPI | 1831661172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 054209-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN179951) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN179951) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2021-02-24 |