| NPI | 1740806793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 0576254-23) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-04-22 |