| NPI | 1598006371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 056713-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0090812) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2014-09-04 |