| NPI | 1881945764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337365-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0116076) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2025-05-08 |