| NPI | 1093000648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0134284) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 056501-23) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2019-08-31 |