| NPI | 1952820177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0135139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN222935) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-09-08 |