| NPI | 1992116958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL Arnp2918082) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2918082) | |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2022-10-24 |