| NPI | 1144342726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT NP101-0024580) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 184097) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-09-28 |