| NPI | 1811935430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0062975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 4780074) |
| 367A00000X Advanced Practice Midwife (Licence: UT 47800744402) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-12-11 |