| NPI | 1447745765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0133177) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-08-17 |