| NPI | 1730311663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0135014) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 336049) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-05-12 |