| NPI | 1023643624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2277488) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 2277488) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-04-26 |