| NPI | 1033114921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 052157-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0029454) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-10-08 |