| NPI | 1205231081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2264510) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2264510) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN01320) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN01320) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2026-08-20 |