| NPI | 1306681234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2333735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2333735) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |