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 |