| NPI | 1164110813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 063564-21) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2025-06-16 |