| NPI | 1346047024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0135718) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-07-01 |