| NPI | 1912993916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 1010124226) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 739) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: VT NP101.0124226) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 739) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT NP101.0124226) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VT NP101.0124226) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VT NP101.0124226) | |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2020-09-14 |