| NPI | 1982377164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN270109) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134914) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 081300-23) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-01-23 |