NPI | 1285864322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2269459) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2269459) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2020-05-22 |