| NPI | 1225126832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 178285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 178285) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-02-12 |