| NPI | 1588680839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 1010024913) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VT 1010024913) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-02-10 |