NPI | 1346996238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2289083) |
Additional Taxonomies | 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: MA RN2289083) |
Enumeration Date | 2022-03-01 |
Last Update Date | 2023-06-21 |