NPI | 1457744344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024634) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0109990) |
Enumeration Date | 2015-03-17 |
Last Update Date | 2024-02-16 |