| NPI | 1669964797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VT 101.0134185) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 026.0095788) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-08-03 |