| NPI | 1972757177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA 217285) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: MA RN217285) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: MA RN217285) | |
| 163WW0000X Registered Nurse Wound Care (Licence: NH 065595-21) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NH 065595-23) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2024-01-26 |