| NPI | 1194379669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VT 101.0134384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0089278) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-11 |