| NPI | 1437565108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059077-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0103415) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-08-03 |