| NPI | 1790504900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 014378) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT AG07240067) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2025-01-22 |