| NPI | 1649468471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner Perinatal (Licence: VT 101.0135668) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP157) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OR 202001949NP-PP) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2024-05-28 |