| NPI | 1902189418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 085152-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2263050) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 085152-23) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2263050) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2021-12-02 |