| NPI | 1548938699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VT 101.0134890) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: VT 101.0134890) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |