| NPI | 1376825919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010018856) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 1010018856) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2013-06-07 |