| NPI | 1598738890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059791-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0014664) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2009-02-02 |