| NPI | 1396866174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 1010008886) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F3055691) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2012-02-24 |