| NPI | 1366561540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010010188) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VT 1010010188) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-02-25 |