| NPI | 1639614613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 101-0134459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341367) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2020-01-20 |