| NPI | 1134661085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134967) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0114153) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2022-03-15 |