| NPI | 1942393988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH NH041326-23-03) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN204583) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-07-23 |