| NPI | 1942261003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 025118-23-05) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 025118-23-05) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 0091190) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-12-08 |