| NPI | 1124672340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 101.0134375) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: VT 101.0134375) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-01-30 |