| NPI | 1053329482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 071559-23) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F302200-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0113503) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-05-27 |