| NPI | 1295468643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0138083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 714106) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0138083) | |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2025-08-13 |