| NPI | 1477151231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0134671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134673) |
| 163WC1500X Registered Nurse, Community Health (Licence: VT 026.0020728) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-05-09 |