NPI | 1093728446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 035886-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0015318) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-02-12 |