| NPI | 1992939524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN202493) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MA 232119) |
| 363L00000X Nurse Practitioner (Licence: NH 074375-23) | |
| 363L00000X Nurse Practitioner (Licence: ME RN67899) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MA 202493) | |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2023-08-31 |