| NPI | 1285278317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 268092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 268092) |
| 208000000X Pediatrics (Licence: MA 268092) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2021-10-18 |