| NPI | 1952736209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134419) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VT 10522258) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2020-03-12 |