| 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 |