| NPI | 1427243138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2381947) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 453840) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381794) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2024-03-01 |