| NPI | 1235975814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2372331) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2372331) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-08-07 |