| NPI | 1205617412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN260444) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA RN260444) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |