NPI | 1376013235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 1376013235) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0134242) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2023-04-20 |