| NPI | 1598741019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0026277) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 101-0026277) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-11-08 |