| NPI | 1194765396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010012785) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101-0012785) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-09-26 |