| NPI | 1306185046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA rn2264257) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA NP95000968) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37735) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NPP95000968) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2017-07-18 |