| NPI | 1518671411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0137409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 101.0137409) |
| 163W00000X Registered Nurse (Licence: FL 9517245) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-10-08 |