| NPI | 1376013235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 1376013235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134242) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-04-20 |