NPI | 1104145069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0108269) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0108269) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2019-07-30 |