NPI | 1750834651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 091979-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0122812) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2023-09-12 |