| NPI | 1366943169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 076868-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 30804) |
| 163W00000X Registered Nurse (Licence: NH 076868-21) | |
| 163W00000X Registered Nurse (Licence: VT 026.0133638) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2022-08-12 |