| NPI | 1215470877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2300799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 814922) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 950032225) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2021-05-27 |