| NPI | 1336510841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2342365) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0117239) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 07164623) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-02-24 |