| NPI | 1346905445 | 
|---|---|
| Former Name | EMILY O'BRIEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2309647)  | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA R2309647)  | 
| Enumeration Date | 2021-11-03 | 
| Last Update Date | 2024-12-16 |