| NPI | 1619915568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0019055) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02316) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN02316) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-04-18 |