| NPI | 1023431269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN281512) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37786) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2015-11-04 |