| NPI | 1124576475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0122885) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 0122885) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-12-23 |