| NPI | 1992378814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2365238) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: RI RN54050) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-08-01 |