NPI | 1447797048 |
---|---|
Former Name | KRISTY MAIRE ROCHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2276873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN 2276873) |
Enumeration Date | 2017-01-21 |
Last Update Date | 2023-02-02 |