| NPI | 1295048866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2258656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2258656) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2258656) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2023-03-15 |