| NPI | 1992755219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0134224) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 155989) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-06-05 |