| NPI | 1780638387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0017211) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 1010017211) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-03-19 |