NPI | 1033684493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2290114) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134198) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2023-11-07 |