| NPI | 1609893643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R264070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 048161-23) |
| 363L00000X Nurse Practitioner (Licence: VT 1010023797) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-08-29 |