| NPI | 1295154003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 067292-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0099719) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-12-05 |