| NPI | 1306899257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 101-0029403) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-03-16 |