| NPI | 1730951179 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 114494-23) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2282358) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 114494-23) | |
| Enumeration Date | 2023-10-30 | 
| Last Update Date | 2025-07-15 |