| NPI | 1336812593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2337692) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 9805) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-10-25 |