| NPI | 1093098196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0087558) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 038912-23) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP131097) | |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2022-05-05 |