NPI | 1033785183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 053358-23) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VT 026.0114140) |
Enumeration Date | 2021-05-31 |
Last Update Date | 2024-07-23 |