| NPI | 1811943954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0019504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 048361-23-03) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-06-18 |