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 |