| NPI | 1912087867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 1010025554) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NH 0256212301) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-23 |