| NPI | 1033785183 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 053358-23) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VT 026.0114140) | 
| Enumeration Date | 2021-05-31 | 
| Last Update Date | 2024-07-23 |