| NPI | 1215550116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0134577) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0134545-EMGY) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-06-01 |