| NPI | 1215642400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 090131-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136466PROV) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-09-06 |