| NPI | 1235431222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 067106-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.00742949) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-05-10 |