NPI | 1871091728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2306573) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2306573) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 310769) | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2024-02-01 |