| NPI | 1376579615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 164764) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA 169769) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MA 169769) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-04-26 |