| NPI | 1932484052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 101.0135088) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201600990NP-PP) |
| 163W00000X Registered Nurse (Licence: OR 201600885RN) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-02-13 |