| NPI | 1356711659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0118629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 307705) |
| 363L00000X Nurse Practitioner (Licence: MD R230629) | |
| 163W00000X Registered Nurse (Licence: NH 072665-21) | |
| 163W00000X Registered Nurse (Licence: VT 026.0077877) | |
| 163W00000X Registered Nurse (Licence: NY 714530) | |
| 163W00000X Registered Nurse (Licence: MD R230639) | |
| 363L00000X Nurse Practitioner (Licence: NH 072665-23) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2019-03-08 |