NPI | 1528078557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 1010030791) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: VT 0910000166) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2012-02-07 |