| 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 |