| NPI | 1851659270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0085890) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 10912104) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-06-30 |