| NPI | 1912005406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 020476-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VT 1010012591) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-12-11 |