| NPI | 1043892094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 9678) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 134948) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CT 134948) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-06-09 |