| NPI | 1881680296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010028022) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VT 1010028022) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0028022) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-03-10 |