| NPI | 1013434612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0134598) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0134598) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-04-05 |