| NPI | 1336898386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0135538) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: VT 026.0139955) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0135538) | |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-08-03 |