| NPI | 1134343239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101-0134749) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 233795) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-05-18 |