| NPI | 1497061048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2258707) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2258707) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0080831) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2258707) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0080831) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2020-11-13 |