| NPI | 1225050255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0089061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008889) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-09-15 |