| NPI | 1104285584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2299197) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN02820) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2299197) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-10-07 |