NPI | 1669614368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VT 101-0020076) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: VT 101-0020076) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2009-03-27 |