| NPI | 1730674185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VT 101.0134196) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 026.0111083) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NH 076734-23) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-10-20 |