| NPI | 1669614368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101-0020076) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: VT 101-0020076) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |