| NPI | 1992668826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2379348) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 087223-23) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 087223-23) | |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-02-17 |