NPI | 1851309108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 151955) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 151955) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2009-01-28 |