| NPI | 1972329738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN274032) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA APRN10003312) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA APRN10003312) | |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-12-01 |