| NPI | 1255377784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 029312-23-05) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101-0020789) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2011-11-21 |