| NPI | 1962951509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010134331) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN CNM0356) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-04-13 |