| NPI | 1871969022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 33340757) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: VT 101.0114340) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2021-08-31 |