| NPI | 1982169017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN254065) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN254065) |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2020-05-28 |