NPI | 1316243322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 063491-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VT 101-0134643) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2021-04-07 |