| NPI | 1982659132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010020753) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 0370502303) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2024-12-02 |