| NPI | 1295503084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT F12230507) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VT 026.0113602) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-01-03 |