| NPI | 1730194283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 021474-23-05) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0013378) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2009-07-23 |