| NPI | 1558737056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0134473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 113174) |
| 163W00000X Registered Nurse (Licence: VT 026.0141389) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 6185) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-05-25 |