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 |