| NPI | 1326580440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0127675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0068042) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0127675) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0127675) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2022-02-14 |