NPI | 1962120568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.01357674PROV) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VT 026.0139292) |
Enumeration Date | 2022-08-19 |
Last Update Date | 2022-11-08 |