| NPI | 1881048106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004104) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2021-12-17 |