| NPI | 1396601530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2365337) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN04370) |
| 363L00000X Nurse Practitioner (Licence: MA RN2365337) | |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2026-01-16 |