| NPI | 1467610378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010130429) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0130429) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 08100154) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-01-13 |