| NPI | 1598343626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 079073-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134770) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-09-16 |