| NPI | 1508683244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 026.0146810) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 026.0146810) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2025-08-12 |