| NPI | 1043845324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2301422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2301422) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2024-01-31 |