| NPI | 1780050419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0120646) |
| 163W00000X Registered Nurse (Licence: VT 026.0103043) | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-08-04 |