| NPI | 1306578356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 12496) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MA RN2306676) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2306676) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-10-13 |