| NPI | 1184335648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2372927) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: MA RN2372927) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-02-08 |