| NPI | 1407148836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0076965) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2022-12-12 |