| NPI | 1124663521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382971) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN233955) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2332955) | |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2024-05-28 |