| NPI | 1497981393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0047022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI RINPP37879) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2016-09-20 |