| NPI | 1528661675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101.0134694) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: VT 101.0134694) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: VT 101.0134694) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |