| NPI | 1609972306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VT 101.0012633) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 12633) |
| 363L00000X Nurse Practitioner (Licence: VT 1010012633) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-12-04 |