| NPI | 1558645614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134166) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 091.0102260) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2024-03-26 |