| NPI | 1740750603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134766) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NH 063200-23) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2021-03-08 |