| NPI | 1962628719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001879) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: VT 101-0033221) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 060326-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.12102-NP) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-08-03 |