| NPI | 1306422779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: RI APRN03606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337727) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95019233) | |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-06-16 |