| NPI | 1306737192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0138031) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0150534) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-24 |