| NPI | 1255509014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 1010134431) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209006889) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209006889) | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2023-12-12 |