| NPI | 1396319901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 10073) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2336801) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2336801) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2336801) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-09-12 |