NPI | 1952081929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2308737) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2308737) |
Enumeration Date | 2023-07-24 |
Last Update Date | 2023-08-30 |