| NPI | 1538738034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0135119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0086862) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-03-25 |