| NPI | 1730111360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018046) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 046828-23) |
| 363L00000X Nurse Practitioner (Licence: VT 1010059379) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-07-02 |