NPI | 1518987270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 056890-23-03) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 101-0031292) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-01-31 |