| NPI | 1730695446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 049566-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 026.0129429) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-20 |