| NPI | 1154723328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0135187) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2284088) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2025-04-02 |