| NPI | 1407418478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0135007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F344654) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-08-19 |