| NPI | 1265414916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 240376) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 240376) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: RI APRN01412) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-04-07 |