| NPI | 1699124560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9370960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136528PROV) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-09-18 |