| NPI | 1861822538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 089121-23) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0099722) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2023-03-07 |