| NPI | 1770859621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0098916) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0028499) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 087144-23) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-01-18 |