NPI | 1326029893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101-0014969) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101-0014969) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2023-03-07 |