| NPI | 1245795129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN142752) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-06-30 |