NPI | 1629337654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 111374-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009533) |
363L00000X Nurse Practitioner (Licence: VT 101.0136538) | |
Enumeration Date | 2012-05-11 |
Last Update Date | 2025-05-08 |