| NPI | 1417508946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2322349) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383214) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2322349) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-06-07 |