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 |