NPI | 1255384889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0013550) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 1010013550) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-03-07 |