| NPI | 1205458056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0134562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0132550) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0134562) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-02-08 |