| NPI | 1407334253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 081390-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0134194) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-10-21 |