| NPI | 1306824958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101-0013323) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 022856-23-02) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2013-06-25 |