| NPI | 1427795491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349931) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-08-12 |