| NPI | 1215364062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0134554) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0134554) |
| 363L00000X Nurse Practitioner (Licence: MA 265605) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN265605) | |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2021-02-11 |