| NPI | 1700344629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0134371) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VT 026.0024083) |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-08-16 |