| NPI | 1649785163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134110) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-10-21 |