| NPI | 1780623975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0040354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332750) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-04-25 |