| NPI | 1225112188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 081836-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101-0021875) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-07-21 |