| NPI | 1861046930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2277215) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2277215) |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2025-02-20 |