| NPI | 1548670227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0134874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338478) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2022-03-08 |