| NPI | 1871333948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0138278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 12789) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241280) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-12-04 |