| NPI | 1326694910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0135652) |
| 363LF0000X Nurse Practitioner Family (Licence: NH 084725-23) | |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2023-08-23 |