| NPI | 1821170408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VT 101-0008425) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101-0008425) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-03-07 |