| 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 |