| NPI | 1013560176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 189727) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 003871) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA 189727) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-08-22 |