| NPI | 1720471584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0111228) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: VT 026.0089643) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-05-04 |