| NPI | 1518373554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 054435-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201404302NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 43320) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 100746) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-10-10 |