| NPI | 1083255459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: VT 101-0134408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0088443) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-29 |