| NPI | 1447633565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0109464) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH 084296-23) |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP201517) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2023-02-09 |