| NPI | 1295745438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11021982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 1010019943) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-05-13 |