NPI | 1346905445 |
---|---|
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 | 2023-06-29 |