| NPI | 1336856442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.013.6604) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0028578) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-10-03 |