| NPI | 1457658221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ME Cnp161222) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VT 101.0073830) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2020-03-09 |