| NPI | 1972389013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0135956) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 084821-23) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-01-17 |