| NPI | 1700768785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0138062) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VT 101.0138062) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0138062) | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-09-22 |