NPI | 1013454826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2260277) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: MA RN2260277) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-01-31 |