| NPI | 1841580859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0093206) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010093206) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336735) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-02-09 |