| NPI | 1194308395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2322025) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA RN2322025) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2024-11-27 |