| NPI | 1669979068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134237) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VT 026.0027479) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2020-10-29 |