| NPI | 1548614522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0119758) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024175117) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-07-21 |