| NPI | 1679534838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 059920-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 246763) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0042694) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-01-07 |