| NPI | 1649474461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 045901-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0024619) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-04-10 |