| NPI | 1629748835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 039791-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0134980) |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2021-10-04 |