| NPI | 1902801038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010014039) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 1010014039) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-07-13 |