| NPI | 1043257637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 124419NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 124419) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-04-13 |