| NPI | 1285216408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0134596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 101.0134596) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-09-03 |