| NPI | 1487148094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010134143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343099) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 1010134143) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-11-11 |