| NPI | 1851623698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2300451) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 011962) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2024-04-05 |