| NPI | 1316473622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 030288-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0128895) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2019-04-24 |