| NPI | 1033816475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 13702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2371476) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-08-28 |