| NPI | 1902844004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0026217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 101-0026217) |
| 208D00000X General Practice (Licence: VT 1010026217) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-12-04 |