| NPI | 1720596992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023483) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101-0134722) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2299054) | |
| 363L00000X Nurse Practitioner (Licence: VT 101-0134722) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-01-10 |