| NPI | 1588642607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 048912-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 04891221) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME 151176) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135067) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-03-24 |