| NPI | 1245950872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 089295-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 089295-21) |
| 163W00000X Registered Nurse (Licence: NY 734108) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136314) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2025-05-22 |