| NPI | 1881303162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0135961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0140121) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-03-21 |