NPI | 1902074677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 065844-23) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 268247) |
363LA2200X Nurse Practitioner, Adult Health (Licence: VT 101.0061484) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NH 065844-23) | |
Enumeration Date | 2008-02-15 |
Last Update Date | 2025-08-21 |