| NPI | 1033808233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2382563) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA CNP-COND2382563) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-06-20 |