| NPI | 1558753871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0109873) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 1010109873) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2025-08-08 |