| NPI | 1689642225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010016091) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VT 1010016091) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-09-20 |