| NPI | 1982127460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0123929) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 044173-23) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2025-12-25 |