| NPI | 1467415661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 040381-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0017254) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-01-02 |