| NPI | 1841503935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0118108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 88494) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 076241-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 004399) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2024-01-02 |