| NPI | 1285259671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0143368) |
| 163W00000X Registered Nurse (Licence: NE 81193) | |
| 163W00000X Registered Nurse (Licence: NH 084972-21) | |
| 363L00000X Nurse Practitioner (Licence: VT 101.0134636) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2022-07-16 |