| NPI | 1447544127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 082902-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37602) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0094734) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-06-22 |