| NPI | 1528078557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010030791) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0910000166) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-02-07 |