| NPI | 1437775335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2296177) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2296177) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |