| NPI | 1790956738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010021863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 039145-23) |
| 367A00000X Advanced Practice Midwife (Licence: NH 039145-23) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2021-04-05 |