| NPI | 1093434763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2351224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN69440) |
| 163W00000X Registered Nurse (Licence: MA RN2351224) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-11-14 |