| NPI | 1982984316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0082960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 0260043274) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2023-08-03 |