| NPI | 1275365389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2362379) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-02-17 |