| NPI | 1033476965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0086224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 026-0058638) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2022-03-24 |