| NPI | 1750834651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 091979-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0122812) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-09-12 |