| NPI | 1912527235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0134509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0134509) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 082046-23) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2022-11-10 |