| NPI | 1124527494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2313879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2313879) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-10-17 |