| NPI | 1124900980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0138090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0150501) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0138090) | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-10-13 |