| NPI | 1417332537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2336684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701690) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2020-08-17 |