| NPI | 1255340154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 122390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 1010011220) |
| 164W00000X Licensed Practical Nurse (Licence: VT 101-0011220) | |
| 163W00000X Registered Nurse (Licence: MA 122390) | |
| 164W00000X Licensed Practical Nurse (Licence: MA 122390) | |
| 363L00000X Nurse Practitioner (Licence: VT 101-0011220) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2014-11-24 |