| NPI | 1215738984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0137787) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 070874-23) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |