| NPI | 1548633068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 062861-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0135887TELE) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 062861-23) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 062861-23) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH AG0715037-AGPNP) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2023-02-17 |