| NPI | 1407031321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9492318) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704127190) |
| 207R00000X Internal Medicine (Licence: VT 101-0134534) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0134534) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704127190) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-06-17 |