| NPI | 1235409814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2264167) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37671) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2023-12-22 |