| NPI | 1194439356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0136064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0134677) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-04-14 |