| NPI | 1396255725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2286893) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2026-03-24 |