| NPI | 1609897743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0011324) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VT 101-0011324) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-01-29 |