| NPI | 1033421110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: VT 101.0093140) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: ME AP101028) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-04-10 |