| NPI | 1093783821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0023089) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: VT 101-0023089) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-09-14 |