| NPI | 1770596991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0017795) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: VT 101-0017795) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-06-03 |