| NPI | 1316243322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 063491-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101-0134643) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2021-04-07 |