| NPI | 1285257618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0134583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0117342) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-08-07 |