| NPI | 1841798352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 257419) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA 257419) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-04-10 |