NPI | 1972757177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 06559523) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN217285) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2025-04-02 |