| NPI | 1205529609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: VT 101-0136356) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: VT TBD) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-07-20 |