NPI | 1215738984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101.0137787) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 070874-23) |
Enumeration Date | 2025-03-20 |
Last Update Date | 2025-03-20 |