| NPI | 1477934982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2371394) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL 11045694) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2371394) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2026-09-30 |